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Ohio rates for HCPCS L2390

Addition to lower extremity, offset knee joint, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $66.23 / $196.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $66.23 / $92.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.80 / $135.65 / $351.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $72.19 / $162.61
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.82 / $104.82 / $104.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.49 / $123.32 / $166.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.16 / $123.32 / $264.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $159.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $58.23 / $101.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $79.77 / $79.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $71.92 / $94.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $60.98 / $92.70